Membership Request Form

If you are either interested in becoming a new member, please complete the form below and one of our membership directors will be in touch soon.

Please provide the following information to begin the registration process:

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First Name:

Last Name:

Email:

Cottage Address (Street/Island Number):

Home Address:

Home City:

Home Province / State:

Home Postal Code / Zip:

Home Country:

Alternate Address:

Address:

City:

Province / State:

Postal Code / Zip:

Country:

Home Phone:

Cell Phone:

Cottage Phone:

Additional Contact Numbers:

Work Phone:

Fax No.:

Include personal information in the member directory
(property map number, name, local phone #)

Additional Info:

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